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Nurse planning diversionary activities for children on peds unit. Which should nurse incorporate as appropriate play activities for school-age children? (Select all that apply.)
- A. Building models
- B. Playing video games
- C. Reading books
- D. Using toy carpentry tools
- E. Shaping modeling clay
Correct Answer: A,B,C
Rationale: The correct activities for school-age children should be developmentally appropriate and engaging. Building models (A) promotes creativity and fine motor skills. Playing video games (B) can be stimulating and entertaining. Reading books (C) encourages literacy and imagination. Toy carpentry tools (D) may pose safety risks. Shaping modeling clay (E) is suitable but less interactive than the correct choices. In summary, A, B, and C are the best options for promoting active engagement and development in school-age children.
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Nurse counseling middle adult who describes having difficulty with many issues. Which problem should nurse identify as priority for more assessment & intervention?
- A. I'm struggling to accept my parents are aging & need so much help
- B. It's been so stressful for me to think about having intimate relationships
- C. I know I should volunteer my time for good cause, but maybe I'm just selfish
- D. I love my grandchildren, but my son expects me to relive my parenting days
Correct Answer: B
Rationale: The correct answer is B: It's been so stressful for me to think about having intimate relationships. This issue should be prioritized for more assessment and intervention because difficulties with intimate relationships can significantly impact one's mental and emotional well-being. It may indicate underlying issues such as fear of intimacy, past trauma, or self-esteem issues. Addressing these issues can help improve overall quality of life.
Choice A is not the priority as accepting aging parents is a common life transition and may not have an immediate negative impact on mental health. Choice C, feeling selfish for not volunteering, is important but may not be as urgent as addressing intimate relationship stress. Choice D, feeling pressured by son about grandparenting, is important but may not directly affect the individual's mental well-being.
Nurse is caring for client sitting in chair & asks to return to bed. What is the priority action for the nurse?
- A. Obtain walker for client to use to transfer back to bed
- B. Call for additional personnel to assist with transfer
- C. Use transfer belt & assist client to bed
- D. Assess client's ability to help with transfer
Correct Answer: D
Rationale: The correct answer is D: Assess client's ability to help with transfer. This is the priority action because it ensures the safety of the client by determining if they are able to assist in transferring themselves back to bed. By assessing the client's ability, the nurse can prevent injury and provide appropriate assistance.
Choice A: Obtaining a walker may be helpful, but assessing the client's ability should come first to determine if it is needed.
Choice B: Calling for additional personnel is not necessary if the client can transfer independently or with minimal assistance.
Choice C: Using a transfer belt is important for safety, but assessing the client's ability should be done before assisting them.
In summary, assessing the client's ability to help with transfer is the priority to ensure safe and appropriate care.
The nurse is caring for a group of medical-surgical patients. The unit has been notified of a fire on an adjacent wing of the hospital. The nurse quickly formulates a plan to keep the patients safe. Which actions will the nurse take? Select all that apply
- A. Close all doors.
- B. Note evacuation routes.
- C. Note oxygen shut-offs.
- D. Move bedridden patients in their bed.
- E. Wait until the fire department arrives to act.
- F. Use type B fire extinguishers for electrical fires.
Correct Answer: A, B, C, D
Rationale: Correct Answer: A, B, C, D
Rationale:
A: Close all doors - By closing doors, the nurse can prevent the spread of smoke and fire, protecting patients.
B: Note evacuation routes - Knowing evacuation routes ensures a safe and efficient evacuation if needed.
C: Note oxygen shut-offs - Turning off oxygen can reduce the risk of fire spreading and explosions.
D: Move bedridden patients in their bed - Moving bedridden patients quickly and safely is crucial for their well-being during an emergency.
Summary:
E: Waiting for the fire department is not proactive and can waste valuable time in ensuring patient safety.
F: Using type B fire extinguishers for electrical fires is incorrect as type C extinguishers are recommended for electrical fires.
G: There is no information provided for this option.
Nurse is teaching young adult about health promotion & illness prevention. Which client statement indicates understanding?
- A. I already had my immunizations as a child, so I'm protected in that area.
- B. It's important to schedule routine healthcare visits even if I'm feeling well
- C. If I'm having any discomfort, I'll just go to an urgent care center
- D. If I'm feeling stressed, I will remind myself that this is something I should expect
Correct Answer: B
Rationale: The correct answer is B: It's important to schedule routine healthcare visits even if I'm feeling well. This statement indicates understanding of health promotion and illness prevention as it emphasizes the importance of preventive care and early detection of potential health issues. By attending routine healthcare visits, the individual can monitor their health status, receive necessary screenings, and address any underlying health concerns before they escalate.
Choice A is incorrect because having immunizations as a child does not provide lifelong protection against all diseases. Choice C is incorrect as urgent care centers are typically for urgent medical needs, not routine preventive care. Choice D is incorrect as stress management is important, but it does not directly relate to health promotion and illness prevention.
Nurse reviewing carseat safety with parents of 1 mo infant. When reviewing this, which instructions should nurse include?
- A. Use car seat that has 3-point harness
- B. Position car seat so that infant is rear-facing
- C. Secure car seat in front passenger seat of car
- D. Put soft padding in car seat behind infants back & neck
Correct Answer: B
Rationale: The correct answer is B: Position car seat so that infant is rear-facing. This is important because rear-facing car seats are known to provide the best protection for infants in the event of a crash, as they support the head, neck, and spine. Other choices are incorrect because: A: A 3-point harness may not provide sufficient support for an infant's small body. C: Placing the car seat in the front passenger seat can be dangerous due to the presence of airbags. D: Soft padding can be a suffocation hazard and interfere with the proper fit of the harness.